Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

Evaluation of the Statistical Detection of Change Algorithm for Screening Patients with MS with New Lesion Activity on Longitudinal Brain MRI

M. Homssi, E.M. Sweeney, E. Demmon, W. Mannheim, M. Sakirsky, Y. Wang, S.A. Gauthier, A. Gupta and T.D. Nguyen
American Journal of Neuroradiology May 2023, DOI: https://doi.org/10.3174/ajnr.A7858
M. Homssi
aFrom the Department of Radiology (M.H., Y.W., A.G., T.D.N.), Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M. Homssi
E.M. Sweeney
dPenn Statistics in Imaging and Visualization Endeavor Center, Department of Biostatistics, Epidemiology, and Informatics (E.M.S.), University of Pennsylvania, Philadelphia, Pennsylvania
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for E.M. Sweeney
E. Demmon
bDepartment of Neurology (E.D., W.M., M.S., S.A.G.), Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for E. Demmon
W. Mannheim
bDepartment of Neurology (E.D., W.M., M.S., S.A.G.), Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for W. Mannheim
M. Sakirsky
bDepartment of Neurology (E.D., W.M., M.S., S.A.G.), Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M. Sakirsky
Y. Wang
aFrom the Department of Radiology (M.H., Y.W., A.G., T.D.N.), Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Y. Wang
S.A. Gauthier
bDepartment of Neurology (E.D., W.M., M.S., S.A.G.), Weill Cornell Medicine, New York, New York
cThe Feil Family Brain & Mind Institute (S.A.G.), Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for S.A. Gauthier
A. Gupta
aFrom the Department of Radiology (M.H., Y.W., A.G., T.D.N.), Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A. Gupta
T.D. Nguyen
aFrom the Department of Radiology (M.H., Y.W., A.G., T.D.N.), Weill Cornell Medicine, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for T.D. Nguyen
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • FIG 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIG 1.

    Longitudinal axial FLAIR images acquired from a patient with MS approximately 10.5 months apart, showing an example of 3 new lesions detected by human readers who were assisted visually by the SDC algorithm, which delineates brain areas containing potential new lesions for human confirmation (red boxes) (referred to as Reader + SDC method).

  • FIG 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIG 2.

    Examples of new lesions varying in size and location on longitudinal FLAIR images obtained from 4 different subjects with MS. These lesions were initially identified by SDC (marked by red boxes) and later confirmed by the Reader + SDC method but were not detected by the Reader method using the conventional radiology workflow.

  • FIG 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIG 3.

    Examples of new punctate lesions (arrows) on longitudinal FLAIR images acquired from 2 different subjects with MS, identified by the Reader method in the clinical workflow but not detected by the SDC and Reader + SDC methods after applying a minimum lesion volume cutoff of 15 mm3. Both lesions were enhancing on the postgadolinium T1-weighted images.

Tables

  • Figures
    • View popup
    Table 1:

    Contingency table comparing the subject-level detection of new lesions obtained from longitudinal FLAIR images of 200 patients with MS using the Reader (manual), SDC (fully automated), and Reader + SDC (semiautomated) methodsa

    Reader + SDCTotal
    New LesionsNo New Lesions
    ReaderNew Lesions16420
    No new lesions14166180
    SDCNew lesions305686
    No new lesions0114114
    Total30170200
    • ↵a Reader + SDC was considered a reference method to provide the ground truth for comparison.

    • View popup
    Table 2:

    Contingency table comparing the subject-level detection of new lesions obtained from longitudinal FLAIR images acquired on the same MR imaging scanner from 80 patients with MS and those acquired on 2 different scanners from 120 patients with MS using the Reader (manual), SDC (fully automated), and Reader + SDC (semiautomated) methods

    Reader + SDCTotal
    New LesionsNo New Lesions
    Same MR imaging scanner from 80 patients with MS
     ReaderNew lesions10010
    No new lesions56570
     SDCNew lesions151631
    No new lesions04949
     Total156580
    Two different scanners from 120 patients with MS
     ReaderNew lesions6410
    No new lesions9101110
     SDCNew lesions154055
    No new lesions06565
     Total15105120
PreviousNext
Back to top
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Evaluation of the Statistical Detection of Change Algorithm for Screening Patients with MS with New Lesion Activity on Longitudinal Brain MRI
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
M. Homssi, E.M. Sweeney, E. Demmon, W. Mannheim, M. Sakirsky, Y. Wang, S.A. Gauthier, A. Gupta, T.D. Nguyen
Evaluation of the Statistical Detection of Change Algorithm for Screening Patients with MS with New Lesion Activity on Longitudinal Brain MRI
American Journal of Neuroradiology May 2023, DOI: 10.3174/ajnr.A7858

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Evaluation of the Statistical Detection of Change Algorithm for Screening Patients with MS with New Lesion Activity on Longitudinal Brain MRI
M. Homssi, E.M. Sweeney, E. Demmon, W. Mannheim, M. Sakirsky, Y. Wang, S.A. Gauthier, A. Gupta, T.D. Nguyen
American Journal of Neuroradiology May 2023, DOI: 10.3174/ajnr.A7858
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSIONS
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Revolutionizing MS Monitoring: The Impact of Postprocessing Techniques on Lesion Detection
  • Revolutionizing MS Monitoring: The Impact of Postprocessing Techniques on Lesion Detection
  • Crossref (4)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Optimization of Binocular Vision Ranging Based on Sparse Stereo Matching and Feature Point Extraction
    Zhiliang Chen, Wei Zhang, Shilin Li, Kaixiong Zhu, Huiyuan Chen
    IEEE Access 2024 12
  • MS: Algorithmus-basierte Detektion neuer Läsionen in der weißen Substanz
    Neuroradiologie Scan 2024 14 01
  • Medical Image Computing and Computer Assisted Intervention – MICCAI 2024 Workshops
    Berke Doga Basaran, Xinru Zhang, Paul M. Matthews, Wenjia Bai
    2025 15401
  • Revolutionizing MS Monitoring: The Impact of Postprocessing Techniques on Lesion Detection
    A. Lecler
    American Journal of Neuroradiology 2023 44 6

More in this TOC Section

  • Diagnostic Neuroradiology of Monoclonal Antibodies
  • Clinical Outcomes After Chiari I Decompression
  • Segmentation of Brain Metastases with BLAST
Show more Adult Brain

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire